Individual provider Active NPI

Soleil Dorcy Minnella, M.A.

  • Clinical Social Worker
  • Springfield Gardens, NY
National Provider Identifier
1043759020
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
130-30 180TH Street
Springfield Gardens, NY 11434
Phone
(718) 527-3511
NPI assigned
Feb 23, 2017
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

130-30 180TH Street
Springfield Gardens, NY 11434

Mailing address

130-30 180TH Street
Springfield Gardens, NY 11434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607000325 NY Practitioner - Mental Health Counselor 0840732780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Medical Services Ny PCGroup PAC ID 0143671966, 44 clinicians

Practice addresses (Care Compare)

9 Railside Ave
FL 10
White Plains, NY 10605-3408
Phone (212) 284-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
011497NYMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1043759020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130-30 180TH STREET",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130-30 180TH STREET",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-527-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNELLA",
        "first_name": "SOLEIL",
        "middle_name": "DORCY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

Verify at the official NPI Registry.